| Jyll K Green, ANP | |
| 2105 E 88th Avenue, Anchorage, AK 99507 | |
| (907) 248-2482 | |
| (907) 248-0045 | 
| Full Name | Jyll K Green | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2105 E 88th Avenue, Anchorage, Alaska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932260627 | NPI | - | NPPES | 
| 1022671 | Medicaid | AK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 859 (Alaska) | Primary | 
| Entity Name | Eastern Aleutian Tribes, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649332446 PECOS PAC ID: 2860301884 Enrollment ID: O20180413000684 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jyll K Green, ANP 2105 E 88th Avenue, Anchorage, AK 99507 Ph: (907) 248-2482 | Jyll K Green, ANP 2105 E 88th Avenue, Anchorage, AK 99507 Ph: (907) 248-2482 | 
| Ms. Mary Kay Mccarty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3925 Tudor Centre Dr, #100, Anchorage, AK 99508 Phone: 907-561-8301 Fax: 907-561-8170 | |
| Mindy Lorin Schloss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6852 Cutty Sark St, Anchorage, AK 99502 Phone: 907-243-5936 | |
| Katherine L Sterner, A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508 Phone: 907-729-4955 | |
| Sandra Frenier, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3340 Providence Dr, Suite 452, Anchorage, AK 99508 Phone: 907-562-2120 | |
| Janet A Bloch, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3851 Piper St, U340, Anchorage, AK 99508 Phone: 907-562-0321 Fax: 907-562-2683 | |
| Lois A Rockcastle, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 University Lake Dr Ste 205, Anchorage, AK 99508 Phone: 907-563-1600 Fax: 907-563-0100 | |
| Mrs. Megan Renee Hathcoat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Airport Heights Dr Ste 200, Anchorage, AK 99508 Phone: 907-262-4278 |